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Surgical Exploration Of The Epididymis

West Virginia rates for HCPCS 54865

A surgical look at the epididymis, the coiled tube behind the testicle where sperm mature, through a small cut in the scrotum. A tissue sample may be taken during the same operation if something abnormal is found.

Rates data updated October 2026.

How much does Surgical Exploration Of The Epididymis cost?

$501

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $1,479 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$479$363 to $912
FacilityA hospital or hospital-owned outpatient department$1,479$1,259 to $2,455

How much rates vary

Facilitymedian $1,479 · 10th to 90th $1,202 to $4,677Professionalmedian $479 · 10th to 90th $302 to $1,072
$500$1K$2K$5K$10Kfacility $1,479professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$371.54
CareSource
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$1,318.26
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$562.34
Typical High
$1,778.28
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$9,772.37
United
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$407.38
Typical High
$912.01

Where West Virginia sits

The same service costs 6.2 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 33rd of 51

$501

AK $1,905UT $309

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.